FOR PAFCU MEMBERS ONLY! Please provide all the requested information. When you have completed the form, click on the Submit button to send your application for processing. You'll hear back from us in approximately two to four working days.

Primary Applicant

Member Number

Last Name

First Name

Social Security #

Birthdate

Address

City

State

ZIP Code

Home Phone

E-Mail Address

Employer Name

Employer Phone Number

Job Start Date

Month/Year

Gross Income

Hourly/Monthly/Annually

Job Title

Amount Requested

Debts

Monthly Payments

Joint Applicant (if applicable)

Member Number

Last Name

First Name

Social Security #

Birthdate

Address

City

State

ZIP Code

Home Phone

E-Mail Address

Employer Name

Employer Phone Number

Job Start Date

Month/Year

Gross Income

Hourly/Monthly/Annually

Job Title

Debts

Monthly Payments

Please note: Income verification is required; other information may be required.
Alimony, child support, or separate, maintenance income need not be listed unless you choose to have such income considered regarding extension and repayment of the credit requested.

I certify that statements on this application are true and complete. I authorize any person, association, firm or corporation to furnish, on request of this Credit Union, information concerning me or my affairs. (Sec. 1014, Title 13, U.S. Code makes it a Federal Crime to knowingly make a false statement on this application of a Federal Credit Union).